52D2002074 CLIA NUMBER - INDEPENDENT OUTLOOK INC

Laboratory Demographics

  • CLIA Code: 52D2002074
  • Facility Name: INDEPENDENT OUTLOOK INC
  • Facility Address: 16389 61ST AVE
    CHIPPEWA FALLS, WI
    ZIP 54729
  • Facility Phone: 715 726-0913
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. MELISSA WAGNER
  • NPI Number: 1922316835
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2002074
LAB Type Assisted Living Facility
Facility Name INDEPENDENT OUTLOOK INC
Street 16389 61ST AVE
City CHIPPEWA FALLS
State WI
ZIP 54729
Phone 715 726-0913
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Assisted Living Facility
Lab Director MS. MELISSA WAGNER

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This page was last updated on: 9/29/2025